Individual
JENNIFER ANN MANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
120 LABREE AVE S, THIEF RIVER FALLS, MN 56701-2840
(218) 683-4351
Mailing address
120 LABREE AVE S, THIEF RIVER FALLS, MN 56701-2840
(218) 683-4351
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16294
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538217088
—
MN
Enumeration date
01/08/2007
Last updated
09/09/2009
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